How to avoid Medi-Cal estate recovery in California?

Asked by: Frederic Lebsack  |  Last update: October 12, 2023
Score: 4.1/5 (25 votes)

Federal regulations prevent the DHCS from pursuing recovery for Medi-Cal services in the following circumstances:
  1. The deceased's spouse is still alive, whether they live in California or not.
  2. A disabled underaged child of the deceased resides in the deceased's home.

How do I avoid medical estate recovery in California?

Exemptions/Waivers

The Department of Health Care Services (DHCS) may waive its claim if payment of the claim would cause a substantial hardship. Any request for a substantial hardship waiver must be submitted to DHCS within 60 days of the date on the DHCS Estate Recovery claim letter.

How do I get around Medicaid estate recovery?

If you're the personal representative of your loved one's estate and worried about having it depleted by Medicaid, you may be able to apply for an Undue Hardship Waiver Request. If estate recovery would cause qualified heirs of an estate undue hardship, then Medicaid can't collect.

What is California estate recovery of Medi-Cal?

Medi-Cal Estate Recovery's claim is only against the estate assets of the deceased member. Your family will be allowed to deduct certain debts and expenses from the value of the estate, such as funeral expenses. Estate Recovery funds don't make a difference for Medi-Cal.

What is Medi-Cal asset protection?

The Medi-Cal Asset Protection Trusts are designed to legally transfer assets that would otherwise disqualify a person from receiving benefits and use the State Medi-Cal rules so that the assets will not count or make the penalty from the transfer minimized or eliminated.

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16 related questions found

Can you inherit medical debt California?

In general, you cannot inherit someone else's debt. But since California is a community property state, when one spouse dies, the other is responsible for those debts. Debts will be paid with estate funds in legally mandated order during the probate process.

Is inheritance considered income for Medi-Cal in California?

The health insurance subsidies from Covered California are based on the estimated Modified Adjusted Gross Income for the household, not assets. An inheritance can effect the subsidy if it triggers a taxable event or generates taxable income. For example, if you inherit a piece of property, it won't affect your income.

Is there an asset limit for Medi-Cal?

Phase I, implemented on July 1, 2022, increased the asset limit to $130,000 per individual and $65,000 for each additional household member. (The previous limits were $2,000 for an individual, $3,000 for a couple, and $150 for each additional household member.)

Who notifies Medi-Cal when someone dies?

It is the legal responsibility of the estate (spouse, estate attorney, executor, heir, or person in possession of the property) to notify the Medi-Cal Recovery Unit within 90 days of the person's death.

How do I avoid probate in California?

One way to avoid probate in California is to use a living trust. A living trust is a legal document that allows you to transfer ownership of your assets to another person. This means that your assets will not go through probate when you die.

Can Medi-Cal recover from a trust?

Put another way, if you hold assets in a living trust, they are not subject to Medi-Cal recovery. This change in the law eliminates much of the complexities of Medi-Cal recovery planning. With a living trust, your assets will be shielded from Medi-Cal recovery.

Can I sell my house while on Medi-Cal?

You can move out of the home, rent it, or sell it, all without affecting your spouse's Medi-Cal eligibility. However, there is an important timing issue here. For eligibility purposes, as an at-home spouse, you are only allowed to keep up to $137,400 in non-exempt assets (for 2022).

How do I protect my real estate assets in California?

Domestic Asset Protection Trusts

This type of trust is created in the U.S., and for you to create one, you have to transfer your assets to a trustee who legally becomes the new owner of the assets. So, in case you do face a lawsuit, you can claim that you can't pay any damages because you don't have any assets.

How long does an administrator have to settle an estate in California?

California law says the personal representative must complete probate within one year from the date of appointment, unless s/he files a federal estate tax. In this case, the personal representative can have 18 months to complete probate.

What is changing in Medi-Cal in 2024?

Improvements to Medi-Cal Managed Care Plans in 2024

DHCS is changing how it contracts with MCPs. These changes will improve how members experience care and include: New commercial MCP contracts: On December 30, 2022, DHCS announced an agreement with five commercial MCPs to serve Medi-Cal members in 21 counties.

What income disqualifies you from Medi-Cal?

Adults qualify for Medi-Cal with a household income of less than 138% of FPL. However, according to the Covered California income guide, children who enroll on Obama Care California plans may qualify for Medi-Cal when the family has a household income of 266% or less.

How much income is too much for Medi-Cal?

Most single individuals will qualify for Medi-Cal if there income is under $1,676 per month. Most couples will qualify if their income is under $2,267 per month. If you have disabilities, your income can be slightly higher. You can qualify for Medi-Cal even if you have assets.

Does settlement money affect Medi-Cal?

Pooled SNTs and structured settlements

If plaintiffs have structured settlement funds distributed to a Pooled SNT, they will maintain eligibility for Medi-Cal for the entire life of the structure. If plaintiffs are unable to pay premiums in the future, they will still be eligible for Medi-Cal.

How much can you inherit from your parents without paying taxes in California?

California does not have an estate tax or an inheritance tax. If an estate is worth more than $12.06 million dollars for single individuals and $24.12 million dollars for married couples in 2022. the estate will need to pay federal estate taxes.

Is inheritance considered separate property in California?

Community property means this property belongs to both spouses. However, even California draws a line when it comes to personal inheritances, including inheritances that were received while married. Inheritances are treated as separate property, belonging to the individual who received the inheritance.

What is the priority of creditors in an estate in California?

This is the order of priority for the payment of debts of the decedent: Debts owed to the United States or the State of California get paid first. The reasonable expenses to administer the estate get paid next, even before debts the deceased person incurred during his lifetime.

Do kids inherit parents debt?

Do you inherit your parents' debt? If a parent dies, their debt doesn't necessarily transfer to their surviving spouse or children. The person's estate—the property they owned—is responsible for their remaining debt.